| TPR Value | BACS Value | Interpretation | Action | | :--- | :--- | :--- | :--- | | Normal | 1-2 | Relaxed, curious | Proceed with standard exam | | Normal | 3-4 | Tense, whale eye, lip lick | Use low-stress handling | | Elevated HR | 5-6 | Piloerection, growl | Pharmacologic intervention (gabapentin/trazodone) | | Shock | 7-8 | Catatonic, frozen bite risk | Reschedule with sedation protocol |

📘 Enroll in a Fear Free certification (online, 6 hours). It will change how you hear a heartbeat.